SURGICAL NURSING 2024 7TH EDITION WILLIAMS, HOPPER Davis
Advantage for Understanding Medical-Surgical Nursing 7th Edition
NEW !!!
Which topics are included in the Hospital Consumer Assessment of Healthcare
Providers and Systems (HCAHPS) survey? Select all that apply. - 1. Responsiveness of
hospital staff
2. Cleanliness of the hospital environment
3. Communication about medications
What is the role of the American Nurses Credentialing Center (ANCC) in medical-
surgical nursing in the United States? - Certifying registered nurses to earn the
credential of Registered Nurse-Board Certified (RN-BC).
Which organization's report regarding ineffective communication estimated that there
are approximately 40,000 incidences of client harm per day in US hospitals? - Institute
for Healthcare Improvement (IHI)
Which member of the interprofessional health-care team performs the role of the care
coordinator in a hospital's surgical unit? - Medical-surgical nurses
Which organization works to promote excellence in medical-surgical nursing? -
Academy of Medical Surgical Nurses (AMSN)
A transitional care nurse (TCN) is caring for a client who had hip surgery. Which
intervention should the nurse provide for the client? - Visit the client weekly at home
during the first month.
Which characteristic is a feature of the Project BOOST (Better Outcomes for Older
Adults Through Safe Transition) program? - It uses an assessment tool called the 8P
scale.
Which member of the interprofessional care team (ICT) can lead the team under the
direction of the primary health-care provider? - Certified registered nurse practitioner
(CRNP)
What is the role of the social worker as a member of the interprofessional care team
(ICT)? - Assess the psychosocial functioning of the client and family.
,The case manager is an integral part of the interprofessional care team (ICT). What is
the role of the case manager? - Plans health care with cost-effective outcomes
Which organization confers the credential Certified Medical-Surgical Registered Nurse®
(CMSRN)? - Medical-surgical Nursing Certification Board (MSNCB)
Which model of transitional care did advanced practice nurse Mary Naylor at the
University of Pennsylvania develop? - The Transitional Care Model (TCM)
A client who needs surgery is asked to sign an informed consent. What are the
requirements for an informed consent? Select All That Apply. - 1. The client must be
mentally competent to give consent for medical procedures.
2. The client must be aware of the risks associated with the procedure.
3. The information is delivered to the client in a language that is understood by the
client.
4. The client must be provided with an opportunity to ask questions.
What is the mission of the Academy of Medical-surgical Nurses (AMSN)? - To enhance
the knowledge, skills, and professionalism of the medical-surgical nurse
Which is true regarding the Care Transitions Program®? - The nurse visits the client in
the hospital and follows up with one home visit and phone calls for a 4-week time
period.
Which themes are the focus of the Transforming Care at the Bedside (TCAB) project?
Select all that apply. - 1. Providing safe and reliable care
2. Providing client-centered care
Which are the values that help clients receive better care according to the Academy of
Medical-surgical Nurses' (AMSN) strategic framework? Select all that apply. - 1. The
nurse uses evidence-based practice.
2. The nurse has the necessary resources to deliver excellent care.
Which domains of nursing are tested by the Medical-surgical Nursing Certification Board
(MSNCB) to confer the certification in medical-surgical nursing to a registered nurse?
Select all that apply. - 1. Monitoring and ensuring the quality of health-care practices
2. Administering and monitoring therapeutic interventions and regimens
3. Managing effectively rapidly changing situations
, Transitional Care - coordinated services and supports during the interval between
preparing a patient to leave one setting and enter another
Affordable Care Act - law passed in 2010 to expand access to insurance, address cost
reduction and affordability, improve the quality of healthcare, and introduce the Patient's
Bill of Rights
Transitional Care Programs - pt centered and typically manage the transitions of pt from
acute care to post-acute care settings
Goals include: avoid poor health outcomes, ensure continuity of care, and safely
transition between care settings
Emphasis is on coordination of care, pt engagement and educations, addressing
causes of poor outcomes, and avoiding preventable readmissions; focusing on the 30
day time period following discharge
Important strategies in managing the transition - -initiating care coordination/transition
planning at least 24 hours prior to discharge
-organizing post-discharge follow up services for pt requiring chronic management
-specific discharge teaching related to symptoms requiring immediate treatment
-Coordination with care providers responsible for management in discharge settings
-Comprehensive medication review
Transitional Care Nurse (TCN) - can be advance practice or bachelor's level, typical
case load of 15-20 pt-- incorporates the competencies of med-surg rn with those of care
manager and pt advocate
Transitional Care Model - Developed by Mary Naylor @ U of Pen-
nurse-led multidisciplinary program in which Transitional Care Nurses (TCN) collaborate
with other health-care team members
Focuses on chronically ill, high risk adults (HF, DM, CKD)
Goal is to prevent complications, provide continuity of care, increase pt and caregivers
abilities to manage care
Academy of Medical-Surgical Nursing (AMSN) - professional organization for med-surg
RN; mission is too "promote excellence in med-surg nursing"
Values of AMSN - -Engage in ongoing professional development
-Use EBP
-Speak w/a unified voice